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April 22, 2024

Annie is an 18-month-old female (28 lbs) with fussiness, decreased PO intake, fever of 102, and left ear drainage for 2 days

Annie is an 18-month-old female (28 lbs) with fussiness, decreased PO intake, fever of 102, and left ear drainage for 2 days. Annie has had 3 episodes of bilateral otitis media over the last 9 months with the last one 1 month ago. On exam you note. How would you document Annie’s ear findings? 2. What is your diagnosis? 3. What is your treatment plan? Include items listed where appropriate. • Prescription(s), OTC medication, symptomatic care, follow up, referral (where and why), and patient education

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